Archives of the Turkish Society of Cardiology
Closure of wide patent ductus arteriosus using a fenestrated muscular VSD occluder device in a pediatric patient with Down syndrome and pulmonary hypertension [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2017; 45(4): 373-376 | DOI: 10.5543/tkda.2016.38283

Closure of wide patent ductus arteriosus using a fenestrated muscular VSD occluder device in a pediatric patient with Down syndrome and pulmonary hypertension

Osman Güvenç1, Murat Saygı2, İbrahim Halil Demir3, Ender Ödemiş3
1Department of Pediatric Cardiology, Gynecologic and Pediatric Hospital, Batman, Turkey
2Department of Pediatric Cardiology, Gaziosmanpasa Taksim Training And Research Hospital, Istanbul, Turkey
3Department of Pediatric Cardiology, Acıbadem University Faculty of Medicine, Istanbul, Turkey

Patients with wide patent ductus arteriosus and significant pulmonary hypertension not treated in time constitute a significant problem for cardiologists. For these patients, tests that could aid in decision-making for further planning include reversibility and balloon occlusion tests performed in the catheterization laboratory. Devices developed for the closure of ductus as well as different devices with off-label use may be employed in patients scheduled for transcatheter occlusion. When result of reversibility test is borderline positive, the use of fenestrated device may be applicable for selected patients. Presently described is case of a 10-year-old patient with Down syndrome who had a wide ductus and systemic pulmonary hypertension. Transcatheter closure procedure was performed with off-label use of a fenestrated muscular ventricular septal defect occluder device.

Keywords: Muscular VSD occluder device, patent ductus arterio- sus, pulmonary hypertension, transcatheter closure.

Osman Güvenç, Murat Saygı, İbrahim Halil Demir, Ender Ödemiş. Closure of wide patent ductus arteriosus using a fenestrated muscular VSD occluder device in a pediatric patient with Down syndrome and pulmonary hypertension. Turk Kardiyol Dern Ars. 2017; 45(4): 373-376

Corresponding Author: Osman Güvenç, Türkiye
© copyright 2017 Archives of the Turkish Society of Cardiology
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